Whalio Doctors

NPI 1104159904

Leila Keel Nichols, CNM

Practitioner Advanced Practice Midwife Jackson, TN

Practice location

Address
2863 Highway 45 Byp, Jackson, TN 38305-3618
Phone
(731) 660-8300
Fax
(731) 660-8301
Mailing address
PO Box 400, Jackson, TN 38302-0400

Registered specialties (4)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 14288 (TN)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 13090 (TN)
Advanced Practice Midwife
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence APN14288 (TN)
Advanced Practice Midwife
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence APRN90339MIDWIFE (WV)

Registry record

NPI
1104159904
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Sep 2009
Record last updated
16 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.